Individual
CIARA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LARCH ST, SCRANTON, PA 18509-2802
(570) 489-5561
Mailing address
116 LARCH ST, SCRANTON, PA 18509-2802
(570) 489-5561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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